Cycle 1
Health 2025-08-08 · Fire 2025-08-08
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Greenville, PA
Saint Paul Homes
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
339 East Jamestown Road, Greenville, PA
(724) 588-7610
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
192
Certified beds
Average residents
123
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1968-06-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.71
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.34
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.80
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.51
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
638
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0201
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.29
Baseline 18.35% · Performance 19.44% · Measure score 4.29 · Achievement 4.29 · Improvement 0
Healthcare-associated infections
8.27
Baseline 6.16% · Performance 5.36% · Measure score 8.27 · Achievement 8.27 · Improvement 6.34
Total nurse turnover
8.82
Baseline 27.86% · Performance 27.61% · Measure score 8.82 · Achievement 8.82 · Improvement 0.32
Adjusted total nurse staffing
5.08
Baseline 4.10 hours · Performance 4.52 hours · Measure score 5.08 · Achievement 5.08 · Improvement 2.03
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.08% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 168 · Observed rate 7.74% · Lower 95% interval 6.84% |
| Discharge to community | 63.01% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 144 · Observed rate 63.89% · Lower 95% interval 56.95% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.7% |
95.27%
3.4 pts better
|
Numerator 76 · Denominator 77 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 77 |
| Discharge self-care score | 62.5% |
53.69%
8.8 pts better
|
Numerator 45 · Denominator 72 |
| Discharge mobility score | 54.17% |
50.94%
3.2 pts better
|
Numerator 39 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 77 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.36% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 1.12% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 6.77% |
8.2%
1.4 pts worse
|
Numerator 22 · Denominator 325 |
| Staff flu vaccination coverage | 96.69% |
42%
54.7 pts better
|
Numerator 350 · Denominator 362 |
| Discharge function score | 62.5% |
56.45%
6 pts better
|
Numerator 45 · Denominator 72 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 93.65% |
96.28%
2.6 pts worse
|
Numerator 59 · Denominator 63 |
| Resident COVID-19 vaccinations up to date | 20.51% |
25.2%
4.7 pts worse
|
Numerator 8 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.5 |
1.7
1.2 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.3 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
1.2
2 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.3 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
86.9%
12.9 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.1% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
3.2%
2.5 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.9% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
6.5%
4.5 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 3.8% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
6.5%
1.9 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 6.5% · Q3 6.0% · Q4 4.2% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
19.9%
2.8 pts better
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 16.3% · Q3 17.0% · Q4 16.7% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.9% |
18.7%
2.8 pts better
|
16.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 14.9% · Q3 18.6% · Q4 14.9% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.0% |
19.6%
1.4 pts worse
|
16.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 23.6% · Q3 24.3% · Q4 22.6% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
18.3%
4.7 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 8.1% · Q3 12.8% · Q4 17.4% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
26.4%
5.3 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 39.6% · Q3 28.6% · Q4 25.8% · 4Q avg 31.7% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
5.3%
1.5 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 3.6% · Q3 2.9% · Q4 2.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
68.9%
29.7 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 98.3% · Q3 98.3% · Q4 99.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.4% |
9.8%
14.6 pts worse
|
12.0%
12.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 21.3% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.2% |
68.7%
30.5 pts better
|
79.7%
19.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.1% |
23.1%
12 pts better
|
23.9%
12.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 9.0% · Expected 19.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-13 · Fire 2024-09-13
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-10-13 · Fire 2023-10-13
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-08
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-08-29
D · Potential for more than minimal harm
2024-09-13
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-10-14
B · Minimal harm
2024-09-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-08
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-18
F · Potential for more than minimal harm
2023-10-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-13
Penalties and ownership
What sits behind the stars
Ownership
Anderson, Doug
Corporate Officer · Individual
Hills, Julie
Corporate Officer · Individual
Mailliard, Brian
Operational/Managerial Control · Individual
Reeves, David
Corporate Officer · Individual
Wright, Christopher
Operational/Managerial Control · Individual
Yankle, Donald
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Kadima Rehabilitation & Nursing At Greenville
Greenville, PA
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Hermitage Nursing And Rehabilitation
Hermitage, PA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Saint John Xxiii Home
Hermitage, PA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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